Family and Medical Leave Employee Packet A

Transcription

1 Family and Medical Leave Employee Packet A Leave for: 1. Serious Health Condition of the Employee or Family Member 2. Parental Leave 3. Sick Child leave 4. Bereavement Leave Please read this statement before proceeding This packet is a summary of Family and Medical leave policy and procedures. In all cases applicable state and federal laws, rules, policies and collective bargaining agreements govern the employee s and the agency s rights and obligations, not this document. FMLA and OFLA are not optional. The law requires the agency to provide these entitlements. Federal and state law prohibit retaliation against an employee with respect to hiring or any other term or condition of employment because the employee asked about, requested or used Family and Medical Leave. Family and Medical Leave follow: The Federal Family and Medical Leave Act, as amended, 29 USC 2601 et seq; section 585 of the National Defense Authorization Act for FY 2008 and federal regulations 29 CFR Part 825 The Oregon Family Leave Act as amended, Oregon Revised Statutes (ORS) 659A.150 through 659A.186 and ORS 659A.306 and Oregon Administrative Rules (OAR) through , OAR through , and OAR through and OAR through , and the Oregon Military Family Leave Act State HR Policy Family and Medical Leave Any applicable Collective Bargaining Agreement ODFW Human Resource and Payroll Resources: ODFW Human Resources Section: 503/ FAX 503/ ODFW FMLA/OFLA Coordinator: Vicki Cloyd 503/ ODFW Payroll Contact: Connie VanEpps 503/ or Cathy Kennedy 503/ ODFW Policy 460_04 Family and Medical Leave (with additional policy related ODFW Employee Leave Request Form FMLA/OFLA Health Provider Certification Form (PD 615A) ODFW Release to Return to Work Form DAS Update 01/01/14, Employee Packet A 1

2 Table of Contents What Is family and medical leave? 3 Am I eligible for FMLA and OFLA leave?. 3 What are qualifying purposes to take serious health condition, Parental, and Sick Child leave under 4 FMLA and OFLA? What is a serious health condition? 5-6 How much FMLA and OFLA leave do I get? 6 What if I am on time loss due to workers compensation? Do I have to take all my FMLA and OFLA at once? 7 What if I don t want to use FMLA and OFLA leave?.. 7 How do I request FMLA or OFLA leave for a serious health condition or parental leave? 7 What happens after I request FMLA or OFLA leave? 7 What else do I need to know about Parental leave?.. 8 What if I need to be absent for OFLA Sick Child leave? 7-8 What is OFLA Bereavement Leave?. 8 Am I paid during FMLA and OFLA leave? 8 Will my insurance continue? 8-9 How do I code my timesheet?. 9 What happens to my job after I take FMLA and OFLA leave?.. 10 What if I need to extend my leave beyond my FMLA and OFLA entitlement?.. 10 DAS Update 01/01/14, Employee Packet A 2

3 What is family and medical leave? The Family and Medical Leave Act (FMLA) and the Oregon Family and Medical Leave Act (OFLA) protect an eligible employee s absence from work under certain conditions. Federal and state laws determine if you are eligible and if your absence qualifies as FMLA or OFLA and how much leave time you may take. Am I eligible for FMLA and OFLA leave? The state uses a rolling backward year to determine an employee s FMLA and OFLA leave eligibility. This means the agency looks backward on the calendar for one year from the first day of your requested leave. This method tells the agency if you are eligible for FMLA or OFLA leave and how much of this leave you have available to use. To be eligible for FMLA or OFLA leave you must meet the following requirements: Employees Eligible for FMLA Employee must have worked for Oregon state government for a total of at least 12 months (if months are non-consecutive there can be no more than a seven-year break in service) and worked for at least 1250 hours during the 12-month period immediately preceding the leave. Employees Eligible for OFLA To qualify for Parental leave (leave to care for a newborn child or newly placed adopted or foster child) employee must have been employed by Oregon state government for a period of 180 calendar days immediately preceding the date leave begins To qualify for leave for a serious health condition or for Sick Child leave (to care for the employee s child with a non-serious health condition requiring home care) or Bereavement leave, in additional to the 180-day requirement above, the employee must have worked an average of 25 hours per week To qualify for OFLA Military Family leave, employee must have worked an average of 20 hours per week (there is no 180 day requirement) When counting the number of hours worked to determine eligibility, the agency counts all hours the employee was actually at work, employment as a temporary worker, and qualifying absences for military leave. Paid or unpaid leave time does not count as hours worked for eligibility purposes. This packet specifically addresses FMLA and OLFA leave for: Leave for your serious health condition Leave for the serious health condition of your family member Parental leave OFLA Sick Child leave OFLA Bereavement Leave Qualifying purposes for the above leave-types are outlined in the chart that follows. Other FMLA and OFLA leave-types can be found in State HR Policy Family and Medical Leave and in information packets describing FMLA Military Caregiver Leave, FMLA Qualifying Exigency Leave and OFLA Military Family Leave can be found in the policy toolkit. DAS Update 01/01/14, Employee Packet A 3

4 What are qualifying purposes to take serious health condition, Parental, and Sick Child leave under FMLA and OFLA? Qualifying purposes under FMLA To recover from or seek treatment for your own serious health condition that renders you incapacitated. This includes pregnancy related disability and absence for prenatal care. To tend to the serious health condition of your: Spouse: husband or wife as defined under Oregon state law and a same sex spouse of an employee if they are married in a state that legally recognizes same sex marriage Parent: your biological or adoptive mother or father, or an individual who stood in loco parentis (in place of a parent) when you were a child Son or daughter (child): your biological, adopted, foster or stepchild, a legal ward, or a child of whom you stand in loco parentis who is 17 years of age or younger. The age limit does not apply if the child is incapable of self-care because of a mental or physical disability Parental leave: to care for your newborn, newly adopted child or newly placed foster child Qualifying purposes under OFLA To recover from or seek treatment for your own serious health condition that renders you incapacitated. This includes pregnancy related disability and absence for prenatal care. To tend to the serious health condition of your: Spouse or same-sex domestic partner as defined under Oregon state law Parent: your biological or adoptive mother or father, or an individual who stood in loco parentis (in place of a parent) when you were a child, and the parent of your spouse or same-sex domestic partner Son or daughter (child) (of any age): your biological, adopted, foster or stepchild, a legal ward, or a child of whom you stand in loco parentis, and the child of your same-sex domestic partner Grandparent or grandchild Parental leave: to care for your newborn, newly adopted child or newly placed foster child Sick child leave: to care for a child 17 years of age or younger who has a non-serious health condition and requires home care. The age limit does not apply if the child is incapable of self-care because of a mental or physical disability To deal with the death of your: Spouse or same-sex domestic partner as defined under Oregon state law Parent: your biological or adoptive mother or father, or an individual who stood in loco parentis (in place of a parent) when you were a child, and the parent of your spouse or same- sex domestic partner Son or daughter (child) (of any age): your biological, adopted, foster or stepchild, a legal ward, or a child of whom you stand in loco parentis, and the child of your same-sex domestic partner Grandparent or grandchild DAS Update 01/01/14, Employee Packet A 4

5 What is a serious health condition? Serious Health Condition: An illness, injury, impairment, or physical or mental condition that involves one or more of the following: Hospital care: Inpatient care (i.e., an overnight stay) in a hospital, hospice, or residential medical care facility, including any period of incapacity or subsequent treatment in connection with or as a consequence of inpatient care. Absence plus treatment: A period of incapacity of more than three consecutive calendar days, including any subsequent treatment or period of incapacity relating to the same condition, that also involves one or both of the following: o Treatment received in person, two or more times by a health care provider, a nurse, or a physician s assistant under direct supervision of a health care provider, or a provider of health care services (e.g., physical therapist) under orders of or referred by a health care provider. o Treatment by a health care provider on at least one occasion resulting in a regimen of continuing treatment under the supervision of the health care provider. Regimen of Continuing Treatment: includes a course of prescription medication such as an antibiotic or physical therapy requiring special equipment to resolve or alleviate the health condition. A regimen of continuing treatment does not include taking over-the-counter medications such as aspirin, antihistamines or salves, bed-rest, drinking fluids, exercise, and other similar activities that could be initiated without a visit to a health care provider. Any period of incapacity for pregnancy, pregnancy-related illness, or for prenatal care (pregnancy disability). The following absences related to pregnancy disability qualify: o Part-day or full-day absences for severe morning sickness. o Periods of bed rest ordered by the physician of the pregnant employee. o A reduced work schedule because of pregnancy complications. o Routine prenatal visits to the doctor. o Leave following childbirth if the employee is incapacitated since the definition of pregnancy disability includes incapacity due to pregnancy or childbirth. Pregnancy is a temporary condition and not a covered disability that requires reasonable accommodation under the Americans with Disabilities Act Amendments Act (ADAAA). Chronic conditions: A chronic condition is one which: o Requires periodic in-person treatments by a health care provider, or by a nurse or physician s assistant under direct supervision of a health care provider. o Continues over an extended period of time, including, recurring episodes of a single underlying condition. o May cause episodic rather than a continuing period of incapacity; for example, asthma, diabetes, epilepsy. Permanent or long-term conditions requiring supervision: A period of incapacity that is permanent or long-term due to a condition for which treatment is potentially ineffective. The employee or family member is under supervision of a health care provider, not necessarily receiving active treatment. Examples are Alzheimer s disease, a severe stroke, the terminal stages of a disease. Multiple treatments (non-chronic conditions): Any period of absence to receive multiple treatments (including any period of recovery) by a health care provider or by a provider of health care services under orders of, or on referral by a health care provider for one or both of the following reasons: o Restorative surgery after an accident or other injury. o For a condition that in the absence of treatment or medical intervention, will likely result in a period of incapacity of more than three consecutive calendar days. For example: chemotherapy or radiation for cancer, physical therapy for severe arthritis, dialysis for kidney disease. DAS Update 01/01/14, Employee Packet A 5

6 Some other definitions that are important for understanding what qualifies as a Serious Health Condition include: Incapacity: The inability to work, attend school or perform other regular daily activities due to a serious health condition or treatment for or recovery from a serious health condition. Treatment: Includes examinations to determine if a serious health condition exists and for evaluations of the condition. The definition does not include routine physical examinations, eye examinations or dental examinations. How much FMLA and OFLA leave do I get? Under both FMLA and OFLA you are entitled to: Up to 12 weeks of leave during a 12-month period if you meet the eligibility and purpose requirements, measured using the rolling backward method. Some reasons for leave qualify under both leaves and some qualify only as one leave type. Leave qualifying under both FMLA and OFLA are designated at the same time. OFLA may entitle you to additional leave under the following circumstances: 1. If you are a female employee and you take any amount of leave for your own pregnancy-related disability, you may take up to an additional 12 weeks of OFLA leave for any OFLA-qualifying purpose. 2. If you are a male or female employee and use a full 12 weeks of Parental leave under OFLA, you may take up to 12 additional weeks of OFLA leave in the same leave year for Sick Child leave. Leave entitlement for part-time employees and using FMLA and OFLA leave intermittently If you are a part-time employee your leave entitlement is pro-rated. For example, if you normally work 30 hours per week, you are entitled to up to 12 weeks of leave at 30 hours per week. Leave taken on an intermittent basis is calculated by the hour. If you are a full-time employee working 40 hours per week, you are entitled to up to 480 hours of leave. A part-time employee s hourly entitlement is prorated. For example, if you normally work 30 hours per week, your hourly entitlement is 360 hours. More than one qualifying condition You may need FMLA or OFLA leave for more than one qualifying condition or purpose at the same time or in the same leave year. Having more than one qualifying condition does not extend the amount of your entitlement. Spouses and family members working for Oregon state government Oregon state government is one employer for purposes of OFLA and FMLA. If you and your spouse both work for Oregon state government you must share the 12-week FMLA entitlement for Parental leave (for the birth, adoption, or foster child placement) or to care for a parent with a serious health condition. Under special circumstances, the agency (or agencies) may lift the requirement that spouses share the entitlement. If you and a family member both work for Oregon state government you may not take OFLA leave at the same time except under one of the following circumstances: 1) one of you needs to care for the other who has a serious health condition; 2) one of you needs to care for a child with a serious health condition while the other is suffering from a serious health condition; 3) you both have a serious health condition or; 4) an agency grants an exception under special circumstances. What if I am on time loss due to workers compensation? Only FMLA leave is applied when you are absent from work for a disabling compensable injury or you have a pending determination of a workers compensation claim, if you meet eligibility and purpose requirements. If your pending workers compensation claim is denied, OFLA leave will immediately begin if you meet eligibility and purpose requirements. DAS Update 01/01/14, Employee Packet A 6

7 If you have a disabling compensable injury and refuse an offer of transitional work, OFLA leave will immediately begin if you meet eligibility and purpose requirements. Do I have to take all my FMLA and OFLA at once? There are three types of FMLA and OFLA leave schedules. 1. Continuous leave: leave taken in a block of time. For example, you take six weeks of leave due to a serious health condition. 2. Intermittent leave: Leave taken sporadically. For example, you miss five days of work a month due to a serious health condition. 3. Reduced schedule leave: Leave taken where you are scheduled to work less than your normal work hours in a day or week. For example, you are normally scheduled to work eight hours a day, instead works six hours and takes the remaining two hours as FMLA and OFLA due to a serious health condition. What if I don t want to use FMLA and OFLA leave? If you are an eligible employee who is absent from work for a reason that qualifies as FMLA or OFLA leave, the agency has no choice but to designate the absence as FMLA, OFLA or both. The amount of paid leave you have accrued or your desire to save FMLA and OFLA until later are not a factor. FMLA and OFLA are not benefits. They are an entitlement that must be applied as the need occurs. How do I request FMLA or OFLA leave for a serious health condition or Parental leave? You must generally give 30 calendar days notice for planned absences (paid or unpaid) related to family and medical leave. Follow agency procedures for submitting a request for leave. If you are unable to request leave in advance due to an emergency or unforeseeable event, let the agency know as soon as possible. You are not required to specifically state the leave is for FMLA or OFLA, but you must provide enough information so the agency can determine if the leave qualifies. The agency may ask for more information if necessary. Because FMLA and OFLA are not optional, the agency can designate leave as FMLA and OFLA without your agreement. What happens after I request FMLA or OFLA leave? Notice of eligibility After you make a request for FMLA or OFLA leave, the agency will generally let you know within five business days if you are eligible for the leave entitlement and if the agency needs more information such as a medical certification. Medical certification If you are required to provide a medical certification for your own or your family member s serious health condition, the agency will give you a medical certification form to take to your medical provider. The agency uses this information to determine if your reason for the leave qualifies under FMLA or OFLA. The medical certification must be returned within 15 days or your leave can be denied. Denied leave means you do not have job protection under FMLA and OFLA. You may be asked to provide another medical certification under certain circumstances. At times, the agency may have enough information to designate FMLA or OFLA leave without requesting medical certification. Final determination The agency will inform you once the agency has enough information to determine whether your absence qualifies as FMLA or OFLA leave. The agency will tell you how much FMLA and OFLA leave time you have available, requirements to use your paid leave, information about insurance, your reinstatement rights, and if the agency will require you to provide a Fitness for Duty Certification before returning to work if you are absent for your own serious health condition. DAS Update 01/01/14, Employee Packet A 7

8 What else do I need to know about Parental leave? Parental leave is time for you to bond with your child after the child s birth, adoption or foster placement in your home. Parental leave must be completed within one year of the birth, adoption or placement. You may take intermittent Parental leave prior to the adoption or placement of a foster child if your presence is required to affect the adoption or placement. In other situations, Parental leave must be taken in a continuous block unless the agency agrees to allow you to take it on an intermittent or reduced schedule that is agreed to by the agency and you. What if I need to be absent for OFLA Sick Child leave? OFLA Sick Child leave is part of your 12-week OFLA entitlement. It is used intermittently. Follow normal call in procedures each time you need to be absent for OFLA Sick Child leave to care for your child 17 years of age or younger (or incapable of self-care due to a mental or physical disability), who has a non-serious health condition (i.e. head cold, ear ache, flu), requiring home care. The agency will inform you whether you qualify for OFLA Sick Child leave. The agency may require you to provide a medical certification after the third time you take OFLA Sick Child leave in the leave year. What is OFLA Bereavement Leave? OFLA Bereavement leave is time for you to deal with the death of a family member by attending: the funeral or alternative to a funeral, making arrangements necessitated by the death, or grieving. An eligible employee may take up to two weeks of leave in a block of time or intermittently. The leave must be completed within 60 days of the date on which the eligible employee receives notice of the death of a family member. Employees are entitled to take multiple periods of bereavement leave if more than one family member of the employee dies during the OFLA bereavement leaves used are deducted from the employee s overall (up to 12 weeks) OFLA entitlement, and cannot exceed the yearly entitlement. Two or more eligible family members who are employees are allowed to take bereavement leave at the same time for the same family member. Am I paid during FMLA and OFLA leave? FMLA and OFLA are unpaid leaves. However, while on FMLA or OFLA leave, you must use your all paid leave (except compensatory time) before going into leave without pay. You may choose whether to use your compensatory time. All paid and unpaid leave used for FMLA and OFLA purposes counts against your FMLA and OFLA entitlement. Exceptions to the requirement to use your paid leave during absences taken in a block of time are: (1) If you are represented, your collective bargaining agreement may allow you to reserve a certain amount and type of leave while you are on FMLA and OFLA; or (2) If you are unrepresented or management service you may reserve 40 hours of sick or vacation leave. For any FMLA or OFLA absence you do not have to use your accrued paid leave if you are also receiving worker s compensation time loss benefits. For any FMLA or OFLA absence if you are receiving payments from your disability insurance provider, you are not required to use your paid leave except as required by the disability insurance contract. Will My Insurance Continue? Under FMLA only, if you use any amount of FMLA leave in a month, the agency pays its share of premiums for your medical, dental and employee-only basic life insurance for that month. Insurance is not paid if you are on OFLA only. Insurance continues under OFLA only as long as you work sufficient hours or use sufficient paid leave. Your optional insurances continue under both FMLA and OFLA as long as you use sufficient hours or use sufficient paid leave. When you are on leave without pay you may continue some of your optional insurances by paying the premiums. If you normally pay a portion of the premiums for your health insurance, you must continue timely payments during the period of leave to avoid cancellation. You may self-pay these premium payments through payroll. DAS Update 01/01/14, Employee Packet A 8

9 If you are only on OFLA leave and in leave without pay, you have the option of continuing coverage under COBRA. You will be notified by a third party administrator, regarding how to continue your health and dental insurances while on leave without pay. If your absence qualifies under OFLA only and if you are receiving donated leave, the donated leave is put toward the insurance premiums for medical and dental first. You must self-pay premiums to continue any optional insurance. Your insurance will resume normally if you return from FMLA or OFLA leave immediately following your FMLA or OFLA absence. If you return beyond that timeframe, you must work a minimum 80 hours in the month to receive the employer contribution for the following month. If you do not return to work following family and medical leave, you may be required to reimburse the agency for the full premium cost of health care coverage paid on your behalf, unless a recurrence, continuation, or onset of a serious health condition (or a serious illness or injury of a covered servicemember) occurs or the reason for not returning is beyond your control. How do I code my timesheet? Your FMLA and OLFA leave needs to be entered correctly using the appropriate timesheet code. If you are unable to enter your own time, your supervisor will do it for you. Stop coding your timesheet as FMLA or OFLA when your FMLA or OFLA entitlement ends. Also, stop coding your time as FMLA or OFLA if you were absent to provide care for a family member and that person dies. Seek approval from your supervisor to use other leave or leave without pay as necessary. Refer questions about tracking your time to your supervisor, human resources or agency payroll. If you qualify for OFLA bereavement leave you need to use the designator 5 e.g., SL5, VA5, PB5, LO5, HO5, FL5 (not listed below). Timesheet codes for FMLA and OFLA absences: Leave Type OFLA Only FMLA Only FMLA and OFLA Combination FMLA and Workers Compensation FMLA Exigency Leave FMLA Exigency Leave and OFLA Combo FMLA Military Caregiver Leave FMLA Military Caregiver Leave and OFLA Combo Sick (SL) SL1 SL2 SLF SL3 SL6 SL7 SL8 SL9 Vacation (VA) VA1 VA2 VAF VA3 VA6 VA7 VA8 VA9 Personal Business (PB) Compensatory Time (CT) PB1 PB2 PBF PB3 PB6 PB7 PB8 PB9 CT1 CT2 CTF CT3 CT6 CT7 CT8 CT9 Straight Time ST1 ST2 STF ST3 ST6 ST7 ST8 ST9 Leave Without Pay (LO) LO1 LO2 LOF LO3 LO6 LO7 LO8 LO9 Holiday (HO) HO1 HO2 HOF HO3 HO6 HO7 HO8 HO9 Governor s Leave (GL) GL1 GL2 GLF GL3 GL6 GL7 GL8 GL9 Bereavement Leave (FL) FL1 FL2 FLF FL3 FL6 FL7 FL8 FL9 Donated Hardship Leave (DH) DH1 DH2 DHF n/a n/a n/a DH8 DH9 DAS Update 01/01/14, Employee Packet A 9

10 What happens to my job when I take FMLA and OFLA leave? Before you return from FMLA or OFLA leave for your own serious health condition, the agency may require you to provide a statement from your medical provider verifying you are able to return to work, and if you have any limitations. If you are returning from OFLA leave, or leave that qualifies for both FMLA and OFLA, you have a right to be restored to the position you held prior to your leave. If you are returning from FMLA-only leave, you have a right to be restored to the position you held prior to your leave or a position with equivalent pay and benefits. The following exceptions apply to both FMLA and OFLA: If your position was eliminated through an agency layoff process, you must be treated as if you were not on FMLA or OFLA leave and will be treated the same as similarly situated employees according to agency policy or an applicable collective bargaining agreement. If you are a temporary or limited duration employee, the agency will return you to your position to the extent the placement or position still exists. If you are unable to perform an essential function of your position and reasonable accommodations are not appropriate, FMLA and OFLA job protection ends. You may be subject to termination under an applicable law, rule, policy or collective bargaining agreement. What if I Need to Extend My Leave Beyond My FMLA or OFLA Entitlement? If you are unable to return to work following your FMLA or OFLA leave or cannot perform all essential functions of your job, you may request an extension of your absence. The agency may grant an extension when continuing your leave does not impose undue hardship for the agency and continuing your leave complies with law, policy, an applicable collective bargaining agreement, and reasonable accommodation provisions of the Americans with Disabilities Act Amendments Act (ADAAA). DAS Update 01/01/14, Employee Packet A 10